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Tubal Reanastomosis

So that there will be no children again in the future; Patients who have their tubes tied sometimes regret this procedure. Studies show that 7-10% of patients who have their tubes tied, i.e. channels, regret this procedure and may want to have a child again. In fact, some patients may want to have their tubes opened, even if they do not want to have children again.

Reversal of Connected Tubes is a procedure to restore fertility - A tubal ligation is often referred to as "tying your tubes." During Connected Tubes Reopening, blocked segments of the fallopian tubes are reconnected to the rest of the fallopian tubes. This may allow the eggs to travel back through the tubes and sperm to travel up the fallopian tubes to join an egg.

Tubal ligation procedures that cause the least amount of damage to the fallopian tubes are most likely to allow for a successful reversal of tubal ligation.

Why is it done?

Reversal of tubal ligation may allow you to get pregnant without further medical attention. Tubal ligation reversal is not suitable for everyone. There are several factors that determine whether Reopening of Connected Tubes will be successful.

  • Your age and body mass index
  • How you got your tubes tied
  • The degree of damage to your fallopian tubes
  • Remaining channel length
  • Other fertility factors such as sperm and egg quality

It is more likely to be successful if you still have a large portion of the healthy fallopian tube.

We usually perform this operation, namely the reopening of the tubes, with laparoscopic or robotic techniques.

Risks

The risks associated with tubal ligation reversal include:

  • Inability to get pregnant after the procedure. Pregnancy rates following tubal ligation reversal vary greatly depending on your age and other factors.
  • Infection
  • Bleeding
  • Scarring of the fallopian tubes
  • Injury to nearby organs
  • Complications of anesthesia
  • ectopic pregnancy - when the fertilized egg implants outside the uterus, usually in the fallopian tube.

How to prepare

Before tubal ligation is reversed, your doctor will likely:

  • Explains the details of the procedure
  • Discuss the likelihood of success after the procedure and your ability to conceive
  • Discuss other options for pregnancy, such as IVF

What can you expect

Tubal ligation reversal can be done as an inpatient procedure.

During the procedure; During tubal ligation reversal, your doctor may use robotic or laparoscopic surgical equipment (small tubes attached to small cameras and surgical instruments) to make a small incision in your abdomen and reopen and connect your fallopian tubes.

During the procedure

During tubal ligation reversal, your doctor may use robotic or laparoscopic surgical equipment (small tubes attached to small cameras and surgical instruments) to make a small incision in your abdomen and reattach your fallopian tubes.

Alternatively, your doctor may make a small incision in your abdomen (minilaparotomy) and expose your uterus, fallopian tubes, and ovaries. The doctor then:

  • Removes blocked pieces of fallopian tube
  • Tries to repair the tube with small absorbable sutures

If too much was removed during tubal ligation, your doctor may not be able to reconnect one or both of your fallopian tubes.

After processing

As you start to feel better, you can slowly resume your normal activities; this usually takes a week or two. Your stitches will dissolve and do not need to be removed. Ask your doctor when to schedule a follow-up appointment to make sure you are healing properly.

Results

Success rates after tubal ligation reversal can vary widely, depending on factors such as the woman's age and the type of tubal ligation procedure performed initially. While it is difficult to predict the likelihood of pregnancy after this procedure, younger women – especially those aged 35 and younger – tend to have better success rates. In cases where tubal ligation reversal is not successful, in vitro fertilization (IVF) may be an alternative option to help you get pregnant.

Alternatively, your doctor may make a small incision in your abdomen (minilaparotomy) and expose your uterus, fallopian tubes, and ovaries. The doctor then:

  • Remove clogged pieces of fallopian tube
  • Try to repair the tube with small absorbable sutures

If too much is removed during tubal ligation, your doctor may not be able to reconnect one or both of your fallopian tubes.

After processing

As you start to feel better, you can slowly resume your normal activities; this usually takes a week or two. Your stitches will dissolve and do not need to be removed. Ask your doctor when to schedule a follow-up appointment to make sure you are healing properly.

Results

Success rates after tubal ligation reversal can vary greatly depending on factors such as maternal age and the type of tubal ligation procedure performed initially. While it is difficult to predict the likelihood of pregnancy after this procedure, younger women – especially those aged 35 and younger – tend to have better success rates. In cases where Reopening the Connected Tubes procedure is not successful, in vitro fertilization (IVF) may be an alternative option to help you get pregnant.

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